NPI 1053894428

Billy Gerald Jenkins

Practitioner Pharmacy Technician Lewiston, ID

Practice location

Address: 2102 Nez Perce Dr, Lewiston, ID 83501-4116
Phone: (208) 743-4434
Fax: (208) 743-9422

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 1225043342 (ID)

Other Pharmacy Technician providers in Idaho →

Registry record

NPI: 1053894428
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2018
Record last updated: 12 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.